IndividualActive
Benjamin Nyland, PTA
NPI 1386435790 · Physical Therapy Assistant · Surprise, AZ
Provider details
- NPI number
- 1386435790
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- License
- PTA-014975 (AZ)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
11340 W Bell Rd Ste A-101
Surprise, AZ 85378-9342
Phone: (623) 226-6644
Approximate (ZIP-level) locationGet directions
Mailing address
9680 W Northern Ave Unit 1110
Peoria, AZ 85345-4641
Registry dates
- Enumerated
- 2025-05-15
- Last updated
- 2025-05-15
- Certified
- 2025-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.